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South Dakota rates for HCPCS 42505

Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.68 / $557.59 / $557.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.61 / $844.53 / $1,446.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.00 / $1,337.01 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.65 / $899.19 / $1,101.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00